Individual provider · Type 1 NPI

Jasen Wallace, BCBA

Behavior Analyst · Concord, CA

NPI number 1982182705 Active

Practice location

3437 Dormer Ave
Concord, CA 94519-1603

Call (415) 989-5000 Map

Mailing address

625 Ashbury St Apt 15
San Francisco, CA 94117-4703

Other practice locations

3000 El Camino Real Bldg 4, Palo Alto, CA 94306-2100 · (408) 637-7762

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	1-22-62688 (CA)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1982182705

Jasen Wallace, BCBA's National Provider Identifier is 1982182705, issued on Aug 2, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Concord, CA. The record was last updated on May 10, 2026.